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    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
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<script type="text/javascript">
$(function(){
$('div').columnize({ columns: 4 });
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         </head>
         <body>  
             <table border="0" cellspacing="5" cellpadding="5">
                 <thead>
                     <tr>
                         <th colspan="2"><?php include_once('controller/includes/header.php'); ?></th>
                         <th></th>
                     </tr>
                 </thead>
                 <tbody>
                     <tr>
             <td colspan="2">
                 <form name="form1" method="POST" action="<?php echo $_SERVER['PHP_SELF']; ?>" enctype="multipart/form-data">
             <div>
                 <fieldset>
                  <legend>Image upload</legend>
                  <p><label>van: </label><input type = "date" required = "required" name="date_van" value="" /> </p>
                  <p><label>tot: </label><input type = "date" required = "required" name="date_tot" value="" /> </p>
                   <p><label>aantal dagen: </label><input type = "number" min ="1" max ="20" required = "required" name="aantal_dag" value="" /> </p>
                 </fieldset>
            
             </div>
                <div>
                 <fieldset>
                  <legend>klant</legend>
                   <p><label>bedrijfsnaam:<p><label><input type = "text" name="bedrijfsnaam" value="" placeholder="limelight bv."/> </p>
                  <p><label>contactnaam: </label><input type = "date" required = "required" name="contactnaam" value="" placeholder="John Ratzenberger" /> </p>
                   <p><label>straat/nr: </label><input type = "text"  required = "required" name="straat" value="" placeholder="amstelweg 12" /> </p>
                   <p><label>postcode: </label><input type = "text"  required = "required" name="postcode" value="" placeholder="1200 AK" /> </p>
                   <p><label>plaats: </label><input type = "text"  required = "required" name="plaats" value=""  placeholder="Amsterdam" /> </p>
                   <p><label>tel nr: </label><input type = "tel"  required = "required" name="tel" value=""  placeholder="06 33 333 333" /> </p>
                   <p><label>email: </label><input type = "email"  required = "required" name="email" value="" placeholder="john@example.nl" /> </p>
                 </fieldset>
            
             </div> 
             <div>
                 <fieldset>
                  <legend>event loactie</legend>
                   <p><label> naam: </label><input type = "date" required = "required" name="contactnaam2" value="" placeholder="John Ratzenberger" /> </p>
                   <p><label>straat/nr:  </label><input type = "text"  required = "required" name="straat2" value="" placeholder="amstelweg 12" /> </p>
                   <p><label>postcode:  </label><input type = "text"  required = "required" name="postcode2" value="" placeholder="1200 AK" /> </p>
                   <p><label>plaats:  </label><input type = "text"  required = "required" name="plaats2" value=""  placeholder="Amsterdam" /> </p>
                   <p><label>tel nr:  </label><input type = "tel"  required = "required" name="tel2" value=""  placeholder="06 33 333 333" /> </p>
                   <p><label>naam contactpersoon lokatie: </label><input type = "text"  required = "required" name="naam_cont_loc" value="" placeholder="John van doorn" /> </p>
                 </fieldset>
            
             </div>
              <div>
                 <fieldset>
                  <legend>producten / sets</legend>
                  <table>
                      <tbody>
                          <tr>
                              <td width="25%">producten / sets</td>
                              <td width="40%"></td>
                              <td width="20%">dagprijs</td>
                              <td width="15%">weghalen</td>
                          </tr>
                          <tr>
                              <td>setnaam</td>
                              <td></td>
                              <td>xx,xx</td>
                              <td>x</td>
                          </tr>
                          <tr>
                              <td>product naam</td>
                             <td></td>
                             <td> xx,xx </td>
                              <td>x</td>
                          </tr>
                      </tbody>
                  </table>
                  <p><input type="submit" value="Envoyer"></p>
                 </fieldset>
            
             </div> 
                 
                 
                 
                 
                 </form>
              </td>
              
                     </tr>
                     
                 </tbody>
             </table>

            
         </body>

</html>
